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General NPI Number Information
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NPI Number | 1790604478
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Entity Type | Organization
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Legal Business Name | CHARLESTON AREA MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 07/15/2026
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Last Update Date | 07/20/2026
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Provider Practice Location Address
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Address Line | 403 PROFESSIONAL CIR
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City | RAVENSWOOD
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State | WV
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Zip | 26164-1357
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Country | US
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Telephone | 304-865-3631
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Fax |
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Provider Business Mailing Address
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Address Line | 403 PROFESSIONAL CIR
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City | RAVENSWOOD
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State | WV
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Zip | 26164-1357
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Country | US
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Telephone | 304-865-3631
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Fax |
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Authorized Official
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Title or Position | VP FINANCE
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Name | CHAD HOVIS
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Credential |
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Telephone | 304-388-6251
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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